| NPI | 1942942297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARUL KARTHIK BALARAMALINGAM Credentialing Manager 909-398-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |